NPIMap

Organization Active NPI

For Eyes Optical Co, Inc

Doing business as For Eyes Optical

  • Eyewear Supplier
  • San Jose, CA
National Provider Identifier
1801935457
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
SL 5503 Issued in CA
Legal business name
FOR EYES OPTICAL CO, INC
Doing business as
For Eyes Optical
Practice address
1020 El Paseo de Saratoga
San Jose, CA 95130-1630
Phone
(408) 364-1200
NPI assigned
Feb 6, 2007
Reactivated
Sep 11, 2013
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Griffin
Title
Manager
Phone
(305) 557-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X SL 5503 CA Primary

Addresses

Primary practice location

1020 El Paseo de Saratoga
San Jose, CA 95130-1630

Mailing address

3601 SW 160TH Ave Ste 400
Miramar, FL 33027-6312
Phone (305) 557-9004

Other identifiers 1

IdentifierTypeStateIssuer
0712100008OtherCAPROVIDER TRANSACTION ACCESS NUMBER (PTAN)

Other names 1

  • For Eyes Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
For Eyes Optical of PA49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1801935457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276312",
            "telephone_number": "305-557-9004",
            "fax_number": "855-881-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 EL PASEO DE SARATOGA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301630",
            "telephone_number": "408-364-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR EYES OPTICAL CO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "deactivation_date": "2013-07-15",
        "reactivation_date": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-557-9004"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "SL 5503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "0712100008",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Eyes Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "For Eyes Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.